Bielefeld Kyle J, Moller James H
Arkansas Children's Hospital, Little Rock, AR 72202, USA.
Pediatr Cardiol. 2013 Jan;34(1):125-8. doi: 10.1007/s00246-012-0399-0. Epub 2012 Jun 27.
Cardiac tumors in children are rare, and patient series are limited in size. We report 120 children who underwent surgery to treat a cardiac tumor; the tumor type was known in 108 instances. The patients represented <0.1 % of 130,000 cardiac surgeries performed in children from a multi-institutional data base. The most common tumors and the number of patients were rhabdomyoma (n = 42), myxoma (n = 28), and fibromas (n = 10). The remaining 18 tumors of various types occurred in smaller numbers of patients. Nine patients (7 %) died after surgery. The mean age of death was 14 days, and death was most frequent in patients with fibromas (n = 4). Considering the variety of tumors, their varied location in cardiac structures, the patient ages, and the infrequent occurrence in an individual surgeon's experience, the operative mortality was low.
儿童心脏肿瘤较为罕见,病例系列数量有限。我们报告了120例接受心脏肿瘤手术治疗的儿童;其中108例肿瘤类型明确。这些患者占多机构数据库中130,000例儿童心脏手术的比例不到0.1%。最常见的肿瘤及患者数量分别为横纹肌瘤(n = 42)、黏液瘤(n = 28)和纤维瘤(n = 10)。其余18例不同类型的肿瘤患者数量较少。9例患者(7%)术后死亡。平均死亡年龄为14天,纤维瘤患者死亡最为常见(n = 4)。考虑到肿瘤的多样性、在心脏结构中的不同位置、患者年龄以及个别外科医生经验中此类情况的罕见性,手术死亡率较低。